The Patients' Note: Before Your Surgery

The Patients' Note : Before Your Surgery

BASED ON EACH PATIENT'S LASIK ELIGIBILITY EYE EXAM DATA,OUR EXPERT COUNSELORS WILL FULLY EXPLAIN THE SURGERY PROCEDURE.

The LASIK procedure we offer may not be suitable for everyone.
We provide a through eye exam and our experienced ophthalmologist will determine whether or not you are eligible for the laser vision correction and for which LASIK procedure is recommended. Based on your eye exam data, our expert counselor will provide one on one consultation to fully explain your surgery procedures. Our ophthalmologist will gladly take your questions and / or requests regarding LASIK and surgery procedures to alleviate your fear and anxiety.
Our staff will inform you about surgery procedures for other procedures such as our premium option the ICL.

  • *PLEASE BRING A JAPANESE SPEAKER WITH YOU when visiting our clinics (currently our clinics are able to offer language support in Japanese only).
    For more information, please contact us at:eng.customer@kobe-kanagawa.jp
  • * If you schedule your surgery date beyond the 3 month period from the date of your LASIK suitability exam, you must retake the eye exam before the surgery to ensure the condition of your eyes and to check for any possible changes with your vision. Please note that your eye exam data will expire after 3 months.
  • * Your pupils will be dilated for the ocular fundus (the eye ground) exam. Your eyes will be highly sensitive to light for 3 or 4 hours after the exam. Driving is not recommended. Please take public transportation when visiting our clinic on the day of your exam.
  • * If your cornea has severe deformation or scarring caused by wearing contact lenses, you may have to go through an additional eye exam to obtain the precise data of your eyes' condition.
  • * Please refrain from wearing your contact lenses prior to the eye exam: For Soft Contact Lens wearers: Please refrain from wearing contact lenses 3 days prior to the exam. For those who wear Hard Contact Lens, please refrain from wearing contact lenses 2 weeks prior to the exam.
  • * To avoid contact with the cornea which would affect the surface of your eye, we recommend removing your contacts as early as possible.
  • * The length of the LASIK eye exam usually takes about 2.5 to 3 hours including the physician's consultation. Please plan ahead to allow for enough time to visit our clinic before you make an appointment with us.

POSSIBILITY OF NON-SUITABILITY

For those who may fall under one or more of the following conditions, may not be suitable for a LASIK procedure:

If you have any questions concerning the factors listed above, please do not hesitate to contact us by E-mail through our Inquiry Form or eng.customer@kobe-kanagawa.jp

FILLING OUT THE PATIENT CHART QUESTIONNAIRES

Please fill out the patient chart along with the questionnaire regarding the condition of your eye, contact lenses and/or usage of glasses, health background, and any prescription drugs you are currently taking.

EYE EXAM

The following outlines the course of the eye exams to determine and diagnose whether you are a  suitable candidate for LASIK and for which surgery procedure would be best for your vision. 
The actual procedure of the exam should take about 30 minutes.

  1. Corneal Topography: A picture of your cornea's condition will enable us to check for any deformation related to wearing contact lens and to see if you have keratoconus, etc.
  2. Corneal Endothelial Cell Counts.
  3. Refractometer:
    (Equipment used to measure the scale of your myopia, astigmatism and/or hyperopia vision.)
  4. Keratometry: Used to measure the radius and curvature of your cornea.
  5. Tonometer: Used to check your intraocular pressure (The device to measure the tension of your eye)
  6. Visual acuity test (near and far distances)
  7. Dominant Eye Check
  8. WaveScan to measure high aberration. Equipment used to measure the finest distortion and the degree of things "out of focus".
  9. Pupillometer: Used to measure the radius of your pupil.
    * The exam procedures from this point forward requires that part of the medical instruments and equipment may touch the surface of your eyes. Eye drops to numb the eye, will be applied in order to ease some discomfort that may be caused during these exams.
  10. Measure Cornea Thickness. (using ultrasound.)

APPLY EYE DROPS TO DILATE YOUR EYES.

For the ocular fundus exam (to check the eyeground, retina, etc.) and visual acuity test without your own accommodative ability of your eyes, eye drops will be applied to dilate (to enlarge the pupil) your eyes.

EYE EXAM

We will check the amount of refractive errors in your eyes.

MEDICAL EXAMINATIONS AND CONSULTATIONS

The following exams and consultations are conducted by physicians: Please ask any questions you would like to ask the doctor and/or questions you may have forgotten to ask during the counseling.

  1. Ocular fundus exam (to check the eyeground, retina, etc.)
  2. Detailed explanation regarding your surgery procedures by a physician.
    (The expected result of your surgery, complications which may occur during the procedure, etc.)
  3. Suitability for the treatment.

COUNSELING

While waiting for your eyes to fully dilate, (about 15 to 30 minutes), our LASIK Counselor will explain the surgery procedure in detail. The following are the topics covered during the counseling:

  1. The functions and mechanism of your eyes.
    (What is Myopia, Astigmatism, Hyperopia and Presbyopia, etc.)
  2. Theory of treatment procedures for Myopia, Astigmatism, Hyperopia.
    (How refractive errors can be corrected by which surgery procedures, etc.)
  3. The surgery procedures
  4. Possibility of surgery complications and its treatments.
  5. Precautions for the surgery
    * We believe that counseling and consultations are a very important part of our patient care. We would like to resolve any anxiety and answer all your questions before surgery. Please do not hesitate to ask any questions and discuss any concerns with our counselor. Our couselor will answer each of your questions.

THE POST-OPERATIVE CARE INSTRUCTIONS

Regarding the prescription drugs.

For your own health and quick recovery, please follow the clinic's instructions after the treatment. The prescription medication provided must be taken or applied as instructed. Do not reduce the dosage or overdose at your own judgment. If you stop taking medications before our doctor tells you to do so, it may cause complications and the expected vision correction may not be achieved.

Sunglasses / Protective eye glassess.

For the period of 1 week after the surgery, please wear sunglasses/protective eye glasses to protect your eyes from dust and/or unexpected debris when you go outside. Please wear them for a period of 1 week after surgery in order to protect your eyes from unconscious rubbing and to avoid possible pressure to the eye. They are also worn to protect your eyes from being accidentally hit or poked.
*The protective glasses are designed with clear lenses that include a UV block coating. They are not like safety goggles, which can be quickly identified as someone who has had eye surgery.

Sports

You may start exercising lightly or jogging after 1 week post surgery, however, please wait at least 1 month to do strenuous exercises or contact sport activities, which may increase the possibility of getting hit or bumped around the eyes.( ie: Wrestling, Boxing, Ball games, Swimming, etc.)

Applying  makeups and cosmetics.

Do not apply makeup or lotions to your face until the post-operative check up. If our physician finds no problems with your eye's condition, you may resume wearing makeup. However, please do not use any cosmetics around your eyes and on your eye lids.

  • ※ Please do not use eye makeup products such as eye shadows, eye liners and mascara, etc. during the first week after surgery.

Work

Returning to work the following day depends upon your occupation and/or the work environment. However, please be careful and try not to over exert your eyes for 1 week or so.

Driving vehicles

You may start driving as soon as your vision has recovered. However, please take extra caution, especially when you drive at night. Under a Japanese Driver's License, the description regarding the restriction: "corrective lens, etc." should be removed. Please make necessary changes to update your drivers license as soon as your vision has recovered.

SCHEDULED POST-OPERATIVE CHECK-UPS

Post-operative check-ups are scheduled to check on the progress of your vision's recovery. We closely monitor your flap's condition and healing process for any early signs of complications . These scheduled post-operative check-ups are essential to keep your eyes healthy for the rest of your life. Please come to each check-up as scheduled. If you feel any sudden changes in your vision or have concerns about your eyes, we recommend you to come in sooner than the scheduled check-up dates.

THE DAY OF THE TREATMENT

Preparations for the treatment

As anesthetic eye drops are applied, you will not feel any pain during the procedure, but you may feel that your eyes are sensitive to bright lights and/or teary after the treatment. After the 10 minute treatment (in case of LASIK), the doctor will check your eyes before you are released to go home.

THE FOLLOWING DAY CHECK-UP

Your first post-operative check-up and consultation are scheduled the next day after the treatment.

The check-up on the following day is very important to check the healing process of your cornea and vision recovery. You are required to come in for this check-up and the doctor's consultation the following day of your surgery. Some discomfort from the eye drops may occur, however, it should subside by the next morning.

  • *The next day check-up may take about 30 minutes.
    (Please be advised that it may take longer than 30 minutes when the clinic is busy.)
  • *Depending on the type of procedure undergone and/or diagnosis of the doctor, you may be required to visit for more check-ups.

THE ONE WEEK CHECK-UP

Please take it easy for about one week after the surgery...

It takes about a week for your eyes to heal and the condition of your cornea to stabilize. Please be careful and try not to over exert your eyes as much as possible. However, you may go on with your life as normal after the surgery.

FUTURE CHECK-UPS

If you wish to see our ophthalmologists, you can come in for consultations at any time.

As a part of our aftercare services, we offer and provide consultations regarding the health of your eyes as well as your scheduled post-operative check-ups. Please contact us if you have any concerns regarding the care of your eyes.
*Depending on the type of procedure undergone and/or diagnosis of the doctor, you may be required to visit other check-ups after the first week.

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